Raritan Bay Medical Center
530 New Brunswick Avenue, Perth Amboy, NJ · Hackensack Meridian Health · · NPI 1790297455
Published prices by procedure
Cash price is what you pay without insurance. The negotiated range spans the lowest to highest rate this hospital agreed with insurers.
| Procedure | Cash price | Gross charge | Negotiated range | Payers |
|---|---|---|---|---|
| Hydrocortisone in ns IV syringe 1 mg/ml (neo/ped) - cnr HCPCS J1720 | not published | $101.36 | $18.02 – $31.65 | 4 |
| Hydromorphone 0.2 mg/ml in 0.9% nacl IV pca opioid naive - 4 hr dose limit (wrapper) HCPCS J1171 | not published | not published | $0.08 – $0.12 | 2 |
| Hydromorphone 20-0.9 mg/100ml-% soln 100 ml cartridge HCPCS J7999 | not published | $340.08 | not published | 0 |
| Hydroxocobalamin im 10mcg HCPCS J3425 | $0.01 | not published | $0.01 – $0.01 | 9 |
| Hydroxyzine hcl 50 mg/ml intramuscular solution HCPCS J3410 | not published | $122.31 | $13.18 – $20.94 | 4 |
| Hydroxyzine pamoate 25 mg capsule HCPCS Q0177 | not published | not published | $0.45 – $2.42 | 2 |
| Hydrxycorticsterds 17- (17-ohcs) CPT 83491 | $17.90 | $413.00 | $17.90 – $82.02 | 11 |
| Hymenotomy CPT 56442 | $3,522.35 | $6,318.00 | $102.25 – $4,226.82 | 9 |
| Hymovis injection 1 mg HCPCS J7322 | $17.44 | not published | $14.82 – $68.01 | 10 |
| Hyoid myotomy & suspension CPT 21685 | $6,553.49 | $16,897.00 | $2,110.55 – $7,864.18 | 8 |
| Hyoscyamine sulfate inj HCPCS J1980 | not published | not published | $47.17 – $62.04 | 3 |
| #hypersens-actinomyces ab CPT 86602 | $10.18 | $182.00 | $10.18 – $46.65 | 11 |
| Hyperthermia ext gen deep CPT 77605 | $768.62 | not published | $285.03 – $1,848.80 | 9 |
| Hyperthermia ext gen supfc CPT 77600 | $291.33 | not published | $214.25 – $1,065.65 | 9 |
| Hyperthermia gen intrcv prb CPT 77620 | $640.84 | not published | $214.25 – $1,243.90 | 9 |
| Hyperthermia ntrstl prb 5/< CPT 77610 | $640.84 | not published | $214.25 – $1,340.93 | 9 |
| Hyperthermia ntrstl prb>5 CPT 77615 | $640.84 | not published | $285.03 – $2,105.94 | 9 |
| Hyqvia 100mg immuneglobulin HCPCS J1575 | $18.39 | not published | $15.63 – $33.11 | 10 |
| Hysterectomy/revise vagina 58275 CPT 58275 | not published | $11,276.00 | $2,112.81 – $2,112.81 | 1 |
| Hysterectomy/revise vagina 58280 CPT 58280 | not published | $3,101.00 | $2,258.06 – $2,258.06 | 1 |
| Hysteroplasty 58540 CPT 58540 | not published | not published | $949.85 – $1,956.17 | 2 |
| Hysterorrhaphy of ruptured uterus 59350 CPT 59350 | not published | not published | $583.66 – $605.00 | 2 |
| Hysterosalpingography s&i CPT 74740 | $267.78 | $1,560.00 | $63.00 – $623.08 | 11 |
| Hysteroscopy ablation CPT 58563 | $5,468.70 | $9,627.00 | $517.56 – $6,562.44 | 8 |
| Hysteroscopy biopsy CPT 58558 | $3,522.35 | $7,159.00 | $487.51 – $4,226.82 | 8 |
| Hysteroscopy dx sep proc CPT 58555 | $3,522.35 | $5,064.00 | $319.92 – $4,226.82 | 8 |
| Hysteroscopy lysis CPT 58559 | $5,468.70 | $8,694.00 | $597.45 – $6,562.44 | 8 |
| Hysteroscopy remove fb CPT 58562 | $3,522.35 | $6,751.00 | $467.05 – $4,226.82 | 8 |
| Hysteroscopy remove myoma CPT 58561 | $5,468.70 | $10,233.00 | $752.46 – $6,562.44 | 8 |
| Hysteroscopy resect septum CPT 58560 | $5,468.70 | $8,694.00 | $657.71 – $6,562.44 | 8 |
| Hysterotomy abdominal 59100 CPT 59100 | $5,468.70 | $6,372.00 | $795.00 – $6,562.44 | 10 |
| I-123 iobenguane diag HCPCS A9582 | $2,074.81 | $14,609.00 | $2,074.81 – $8,762.09 | 8 |
| I-123 ioflupane diag HCPCS A9584 | $1,388.02 | $6,296.00 | $1,388.02 – $5,266.92 | 8 |
| I-123 sod iodide diag per 100 uci HCPCS A9516 | not published | $211.00 | $155.32 – $155.32 | 1 |
| I-131 iobenguane sulf diag mibg HCPCS A9508 | not published | $9,292.80 | $1,565.98 – $1,565.98 | 1 |
| I131 iodide cap, rx HCPCS A9517 | $23.13 | $134.00 | $23.13 – $45.25 | 9 |
| I131 iodide sol, rx HCPCS A9530 | $20.88 | not published | $20.88 – $29.33 | 9 |
| Iaadi respiratory synctial virus CPT 87280 | $13.42 | $80.00 | $13.42 – $61.50 | 11 |
| Iadna legionella pneumophila amplified probe tq CPT 87541 | $35.09 | $535.00 | $35.09 – $160.79 | 11 |
| Ia infect ag ab qual/semiquant sgl step CPT 86318 | $18.09 | not published | $18.09 – $37.13 | 11 |
| Ia nfct ab sarscov2 covid19 CPT 86328 | $45.28 | not published | $45.28 – $101.77 | 11 |
| Ibandronate 3 mg/3 ml intravenous syringe HCPCS J1740 | not published | $891.03 | $26.18 – $98.01 | 4 |
| Ibmfs seq alys pnl 30 genes CPT 81441 | $2,448.56 | not published | $2,203.70 – $5,025.67 | 10 |
| Ibuprofen injection HCPCS J1741 | not published | not published | $2.58 – $5.99 | 2 |
| Ibutilide fumarate 0.1 mg/ml intravenous solution HCPCS J1742 | $219.06 | $1,377.90 | $219.06 – $679.04 | 8 |
| Icatibant injection HCPCS J1744 | $116.41 | not published | $116.41 – $430.51 | 8 |
| Icd cobalt xt dr MRI is1 df1 HCPCS C1721 | not published | $61,466.80 | not published | 0 |
| Icd crtd cobalt hf MRI is1 df1 HCPCS C1882 | not published | $72,631.76 | not published | 0 |
| Icd crtp serena MRI HCPCS C2621 | not published | $30,247.39 | not published | 0 |
| Icd reliance df4 ib 64cm HCPCS C1895 | not published | $33,926.40 | not published | 0 |
| Icg angiography i&r uni/bi CPT 92240 | $344.98 | not published | $337.62 – $405.90 | 8 |
| Icut allergy test-delayed CPT 95028 | $43.48 | $376.00 | $23.02 – $387.00 | 10 |
| Icut allergy test drug/bug CPT 95024 | $65.80 | $184.00 | $1.69 – $387.00 | 10 |
| Icut allergy titrate-airborn CPT 95027 | $27.13 | not published | $8.99 – $29.57 | 9 |
| I&d abscess posterior spine l/s/ls-22015 CPT 22015 | not published | $2,945.00 | $2,058.42 – $2,058.42 | 1 |
| I&d abscss rtrphryngl/paraphryngl intraorl apprch CPT 42720 | $3,592.74 | $5,369.00 | $824.48 – $4,311.29 | 8 |
| Idarubicin hcl injection HCPCS J9211 | not published | not published | $31.49 – $90.67 | 4 |
| I&d/bursa/foot 28001 CPT 28001 | $1,794.93 | $3,774.00 | $200.67 – $2,153.92 | 8 |
| Idecabtagene vicleucel car HCPCS Q2055 | $541,260.45 | not published | $460,071.38 – $954,928.83 | 10 |
| Identify sperm tissue CPT 89264 | $59.19 | $370.00 | $59.19 – $1,008.19 | 9 |
| Idet 1 or more levels CPT 22527 | not published | $5,125.00 | $317.69 – $317.69 | 1 |
| Idet single level CPT 22526 | not published | $5,347.00 | $693.03 – $693.03 | 1 |
| I&d frarm&/wrst deep absc/hematoma CPT 25028 | $3,594.44 | $6,760.00 | $734.33 – $4,313.33 | 10 |
| Idh1 common variants CPT 81120 | $193.25 | $681.00 | $193.25 – $885.54 | 11 |
| Idh2 common variants CPT 81121 | $295.79 | $891.00 | $295.79 – $1,355.41 | 11 |
| I&d intramural/intramuscular/submuc abscess transanal anes CPT 46045 | $3,038.07 | $7,550.00 | $184.53 – $3,645.69 | 10 |
| I&d lacrimal gland CPT 68400 | $1,072.97 | $1,816.00 | $282.11 – $1,287.56 | 8 |
| I&d lacrimal sac CPT 68420 | $2,584.50 | $4,679.00 | $355.91 – $3,101.40 | 8 |
| I&d upper arm/elbow deep abscess/hematoma CPT 23930 | $3,170.64 | $4,737.00 | $466.98 – $3,804.76 | 10 |
| Idursulfase injection HCPCS J1743 | $558.56 | not published | $474.78 – $1,165.58 | 10 |
| I & d vag hematoma non-ob 57023 CPT 57023 | $3,170.64 | $5,586.00 | $198.45 – $3,804.76 | 10 |
| I&d vag hemtma obst/postpart CPT 57022 | $3,170.64 | $5,586.00 | $190.00 – $3,804.76 | 10 |
| Ifnl3 gene CPT 81283 | $73.37 | $248.00 | $73.37 – $336.21 | 11 |
| Ifosfamide 1 gram intravenous solution HCPCS J9208 | not published | $138.76 | $19.98 – $57.14 | 4 |
| Igh@/bcl2 translocation alys CPT 81278 | $207.31 | not published | $186.57 – $949.97 | 12 |
| Igh gene rearrang dir probe CPT 81262 | $68.55 | not published | $46.01 – $314.12 | 12 |
| Igh gene rearrange amp meth CPT 81261 | $197.99 | $545.00 | $197.99 – $907.26 | 11 |
| Igh@ var region somatic mutation analy CPT 81263 | $294.52 | $1,550.00 | $294.52 – $1,349.59 | 11 |
| Igk rearrangeabn clonal pop CPT 81264 | $172.73 | $862.00 | $172.73 – $791.51 | 11 |
| Ihc/icc per specimen each additional single antibody stain CPT 88341 | not published | $352.00 | $84.93 – $175.29 | 3 |
| Ihc/icc per specimen each multiplex antibody stain CPT 88344 | $398.51 | $535.00 | $142.69 – $597.81 | 9 |
| Ihc/icc per specimen initial single antibody stain CPT 88342 | $189.84 | $715.00 | $80.20 – $306.15 | 9 |
| Ikbkap gene CPT 81260 | $39.31 | $625.00 | $39.31 – $180.13 | 11 |
| Ileostomy/jejunostomy non-tube 44310 CPT 44310 | not published | $3,185.00 | $2,193.42 – $2,193.42 | 1 |
| Iliac/fem angio cath insert HCPCS G0278 | not published | $1,155.00 | $12.47 – $23.59 | 3 |
| Iliac revasc add-on 37222 CPT 37222 | not published | $10,559.00 | $373.29 – $7,765.76 | 3 |
| Imbrication/diaphragm/transthor/transabd 39545 CPT 39545 | not published | $3,152.00 | $1,880.86 – $1,880.86 | 1 |
| Imetelstat 188 mg intravenous solution HCPCS J0870 | $57.02 | not published | $48.47 – $68.42 | 8 |
| Img rta detcj/mntr ds staff CPT 92227 | $65.80 | not published | $11.68 – $71.73 | 10 |
| Img rta detc/mntr ds phy/qhp CPT 92228 | $43.48 | not published | $23.29 – $52.14 | 9 |
| Img rta detc/mntr ds poc aly CPT 92229 | $65.80 | not published | $65.80 – $83.03 | 9 |
| Immob elbow child sm HCPCS L3762 | not published | $159.00 | $91.05 – $182.41 | 2 |
| Immobilizer lwr extrem nylon 20in reinforc 21-35in HCPCS L2999 | not published | $1,153.20 | not published | 0 |
| Immobilizer shldr cntor adlt HCPCS L3670 | not published | $197.51 | $116.95 – $215.89 | 2 |
| Immobilizer shldr dlx str 24-36in med HCPCS L1830 | not published | $151.00 | $92.45 – $288.06 | 3 |
| Immobilizer shldr sling med HCPCS L3660 | not published | not published | $91.75 – $196.23 | 2 |
| Immt breast prosthesis 19340 CPT 19340 | $7,224.60 | $11,121.00 | $412.93 – $8,669.52 | 10 |
| Immune complex assay CPT 86332 | $24.37 | $651.00 | $24.37 – $111.67 | 11 |
| Immune globulin, gamma (igg) (10 %)-gly-iga over 50 mcg/ml injection solution HCPCS J1569 | $47.80 | not published | $40.63 – $100.22 | 10 |
| Immune globulin, gamma (igg) 10 gram-gly-gluc-iga 0 to 50 mcg/ml IV solution HCPCS J1566 | $81.70 | $152.77 | $69.45 – $149.44 | 9 |
A missing value means the hospital did not publish that price — it never means the price is zero. Real bills can add facility fees, supplies and professional fees; see our methodology.